# PROFESSIONAL HOME CARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669634754
- **Authorized official:** ATHENA JENKINS LCSW/RN (PRESIDENT)
- **Authorized official phone:** (203) 494-3916

## Contact information

- **Practice address:** 713 GEORGE ST STE 2, NEW HAVEN, CT 06511-5207
- **Practice address phone:** (203) 494-3916
- **Mailing address:** 6 LAKE CT, HAMDEN, CT 06517-2307
- **Mailing address phone:** (203) 494-3916

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 02/02/2009